Contact Us

New Members: If you would like to join the Spina Bifida of Greater Saint Louis group or just find out more information fill out the below form and a member will get in touch with you as soon as possible.

Current Members: Existing members are also asked to fill this out on a yearly basis so we can ensure we have your correct contact information.

If you would prefer to fill out a paper form you may by clicking here Membership Form

First Name *

Last Name *

Address *

Apt/Suite

City *

State *

Zip *

County *

Home Phone

Cell/Work Phone

Email

Do you wish to receive the newsletter via email *

How are you associated with Spina Bifida?

Are you an existing member:

Childs Name

Child/Adult w/SB Birthday

Hospital / Clinic Name

Check any and all areas where you have an interest and would like to help.

The information provided here is for informational, educational and entertainment purposes only. It is not intended to replace, and should not be interpreted or relied upon as, medical or professional advice. Your use of this site means that you agree to the terms and conditions detailed in our disclaimer.